Organization
NORTHTOWNE DENTISTRY LLC
Active
Other names
Northtowne Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS YONGHYUN KIM DDS (PRESIDENT)
(909) 275-1626
Entity
Organization
Contact information
Practice address
5900 CUBERO DR NE, #B, ALBUQUERQUE, NM 87109-3879
(505) 797-1000
Mailing address
5900 CUBERO DR NE, #B, ALBUQUERQUE, NM 87109-3879
(505) 797-1000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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